NPI | 1447208004 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY A PURVIS Clinic Director 816-380-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 02259) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2012-11-01 |